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cross-sectional

Nicotine and tobacco product use among US youth in 10th and 12th grade, 2023-2025: a repeated cross-sectional study.

Bae D, Cho J, Harlow AF, Chang YC, Sanchez LM, Sussman SY, Dai HD, Meza L, Patrick ME, King BA, Miech RA, Leventhal AM · Lancet regional health. Americas, 2027

e-cigarettenicotine-pouchcombustiblegeneral

A US study tracking tobacco and nicotine use among high school students from 2023-2025 found that nicotine pouches are emerging as a growing concern, more than doubling in use over two years, while traditional cigarette smoking remained at historic lows. Most other nicotine products showed stable or unchanged use patterns, though many young users consumed multiple products simultaneously.

Relevance to India: None stated.